Efficacy and Complications of Interarytenoid Injection for Dysphagia in Infants 1-Year-Old and Under.

IF 2.6 3区 医学 Q1 OTORHINOLARYNGOLOGY
Trenton House, Patrick Scheffler, Mark E Gerber, Stuart Curtis, James Woodward, Stacey Killeen, Dana Williams, Clare M Richardson
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Abstract

Objective: The objective of this study was to assess the efficacy and complication rates of interarytenoid injection augmentation (IAIA) for the treatment of dysphagia in patients 1 year of age and under and to determine if concurrent feeding therapy (FT) affects outcome.

Study design: Retrospective case series.

Setting: Tertiary pediatric hospital.

Methods: Retrospective review of patients 13 months of age and younger with dysphagia treated by IAIA over a 4-year period. The efficacy of IAIA was determined by comparing perioperative videofluoroscopic swallow studies (VFSS) and Dysphagia Outcome and Severity Scale (DOSS) scores. Complication rates and utilization of concomitant FT were determined by evaluating postoperative admission and follow-up records.

Results: Sixty-five patients met inclusion criteria (median age 8 months, interquartile range [IQR]: 7-11). Sixty-seven percent of patients improved on postoperative VFSS scores (median improvement in aspiration of 2 thickness levels, IQR 0-3, P < .0001), and 56% improved in DOSS scores (median increase of 1, IQR: 0-1.5, P < .0001). Ninety-two percent of patients were discharged home on the day of surgery. The 30-day relevant readmission rate was 5%. No patients had intraoperative complications or severe complications at follow-up. No statistical difference in aspiration or DOSS was noted in the concomitant FT cohort due to a lack of sample size.

Conclusion: This study demonstrates that IAIA in children under 13 months old shows comparable rates of success and complications to older patients reported in the literature. No patients had long-term complications and most were discharged home on the day of surgery. More studies are needed to determine the effect of concomitant FT on IAIA.

蝶窦间注射治疗 1 岁及以下婴儿吞咽困难的疗效和并发症。
研究目的本研究的目的是评估唇间腱膜注射隆鼻术(IAIA)治疗1岁及以下吞咽困难患者的疗效和并发症发生率,并确定同时进行的喂养治疗(FT)是否会影响疗效:研究设计:回顾性病例系列:研究设计:回顾性病例系列:方法:对 4 年内接受 IAIA 治疗的 13 个月及以下吞咽困难患者进行回顾性研究。通过比较围手术期视频荧光屏吞咽研究(VFSS)和吞咽困难结果和严重程度量表(DOSS)评分,确定IAIA的疗效。通过评估术后入院和随访记录来确定并发症发生率和同时使用 FT 的情况:65名患者符合纳入标准(中位年龄为8个月,四分位距[IQR]:7-11)。67% 的患者术后 VFSS 评分有所改善(吸入厚度中位数改善 2 级,IQR 0-3,P 结论:该研究表明,IAIA 对儿童的影响是非常大的:本研究表明,13 个月以下儿童的 IAIA 成功率和并发症发生率与文献报道的年龄较大的患者相当。没有患者出现长期并发症,大多数患者在手术当天就可以出院回家。还需要进行更多的研究,以确定同时服用 FT 对 IAIA 的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Otolaryngology- Head and Neck Surgery
Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学
CiteScore
6.70
自引率
2.90%
发文量
250
审稿时长
2-4 weeks
期刊介绍: Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.
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